MS. SEOUN H PARK ANP - NPI 1396168480 - Nurse Practitioner in Clifton, NJ

Q: What is Seoun Park's NPI number?

The NPI number for Seoun Park is 1396168480. It was assigned to this individual provider in the NPPES registry on January 27, 2014.

Q: What is Seoun Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Seoun Park was last updated on October 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Seoun H Park Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SEOUN H PARK ANP (NPI 1396168480) is an individual psychiatric/mental health provider in Clifton, New Jersey, licensed in New Jersey (26NJ15069000) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396168480

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. SEOUN H PARKCredential: ANP

Location Address992 CLIFTON AVEClifton, NJ 07013-3502

Mailing Address16a Mara RdLake Hiawatha, NJ 07034-1350 · (201) 602-2726

Phone(862) 249-1266

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 27, 2014

Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration

NPPES CertifiedOctober 8, 2024

✔ NPI 1396168480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NJ · 26NJ15069000

Also ListedRegistered NurseTaxonomy 163W00000X · License 680166 (NY)

992 CLIFTON AVE, Clifton, NJ 07013

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Seoun H Park Anp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719494194

PECOS Enrollment IDI20250730000744

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOLD STANDARD MEDICAL GROUP PC.

Internal Medicine